Active NPI
Lisa W Barak-Freedman, CRNA
- Certified Registered Nurse Anesthetist
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704147167
- Practice address
- 44405 Woodward Ave
Pontiac, MI 48341-5023 - Phone
- (248) 586-6539
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704147167 | MI | Primary |
Addresses
Primary practice location
44405 Woodward Ave
Pontiac, MI 48341-5023
Mailing address
255 W Michigan Ave
P O Box 1123
Jackson, MI 49204-1123
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040924000811 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719956929 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Long Lake Anesthesiology Consultants PLC
Practice addresses (Care Compare)
23901 Lahser Rd
Southfield, MI 48033-6035
Phone (248) 357-3360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704147167 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Straith Hospital for Special Surgery | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| Long Lake Anesthesiology Consultants, PLC | Current | Accepting new patients | |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| Midwest Anesthesia Resources, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Superior Anesthetists Associates, Inc. | Past | Accepting new patients | |
| Straith Hospital for Special Surgery | Past | Accepting new patients | |
| Cataract Specialty Surgical Center, LLC | Past | Accepting new patients | |
| St. Joseph Mercy Hospital Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
28747 Woodward Ave
Berkley, MI 48072
Phone (248) 471-3058
701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020
2300 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 863-9254
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Northville, MI
- NPI 1467424465
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Behavior Analyst
- Southfield, MI
- NPI 1467296277
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1881743417
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Berkley, MI
- NPI 1528061918
-
- Certified Registered Nurse Anesthetist
- Pontiac, MI
- NPI 1568493047
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
-
- Specialist
- Troy, MI
- NPI 1831144518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1790712586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"address_2": "P O BOX 1123",
"city": "JACKSON",
"state": "MI",
"postal_code": "492041123",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415023",
"telephone_number": "248-586-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAK-FREEDMAN",
"first_name": "LISA",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704147167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.